465 results match your criteria: "Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal[Affiliation]"

This scoping review aimed to map the various facets of intuition in occupational therapy (OT), from its definitions, theoretical frameworks, epistemological paradigms to practical applications, highlighting its role in decision-making. Following the Joanna Briggs Institute methodology, a systematic search of five databases from 1990 to August 2023 identified 337 records related to OT and intuition. After removing duplicates and applying eligibility criteria, 22 studies were included.

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Measuring Scholarly Practice in Respiratory Therapists: The Development and Initial Validation of a Scholarly Practice Tool.

J Contin Educ Health Prof

December 2024

Dr. Zaccagnini: Graduated doctoral student, School of Physical and Occupational Therapy, McGill University, Montréal, Québec. Canada, and Centre for Interdisciplinary Research in Rehabilitation of Greater Montréal, Montréal, Québec, Canada. Dr. Bussières: Professor, Département chiropratique, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, and School of Physical and Occupational Therapy, McGill University, Montréal, Québec. Canada, and Centre for Interdisciplinary Research in Rehabilitation of Greater Montréal, Montréal, Québec, Canada. Dr. Nugus: Associate Professor, Institute of Health Sciences Education, McGill University, Montréal, Québec, Canada, and Department of Family Medicine, McGill University, Montréal, Québec, Canada. Dr. West: Chief Executive Officer, The Canadian Society of Respiratory Therapists, Saint John, New Brunswick, Canada. Dr. Thomas: Associate Professor, School of Physical and Occupational Therapy, McGill University, Montréal, Québec. Canada, and Centre for Interdisciplinary Research in Rehabilitation of Greater Montréal, Montréal, Québec, Canada, and Institute of Health Sciences Education, McGill University, Montréal, Québec. Canada.

Introduction: Respiratory therapists (RTs) must apply competencies to address the health care needs of the public. Although all competencies are deemed essential, scholarly practice requires that professionals critically assess their practices, integrate evidence-based literature, and enhance the care they deliver to patients. Though scholarly practice is also associated with professional empowerment, role satisfaction, and improved patient care, it is rarely measured.

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Community-based physical activity programmes benefit persons with disabilities. However, there is a lack of evidence-based tools to support kinesiologists' training in such programmes. This study aimed to co-create and evaluate physical activity training modules for community-based adapted physical activity (APA) programmes.

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Background: People with common mental disorders (CMD) are prone to experience work disabilities, which can lead to sick leave. To support their recovery and return to work, evidence recommends providing a combination of primary care services including psychological and work rehabilitation interventions. Furthermore, interventions to coordinate return to work are required to ensure timely access to services and concerted action among stakeholders.

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Introduction: The subjective experience of illness is often overshadowed by the disease-and-cure focus of health research, contributing to the stigmatization of conditions such as Parkinson's disease and dementia. This is exacerbated by the fact that traditional means of knowledge dissemination are inaccessible to non-academic audiences, hampering meaningful dialogue with and research uptake by the broader community.

Methods: Our arts-based knowledge translation project, , brought together neuroscientists, people with Parkinson's disease or dementia, care partners and artists (musicians, dancers, circus acrobats) to co-create 2 multi-media performances based on scientific research and lived experience.

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Article Synopsis
  • This study explores the effects of neck muscle vibration (NMV) on visual exploration in post-stroke patients with unilateral spatial neglect (USN), revealing inconsistencies in previous research findings due to diverse methodologies and outcome measures.
  • A total of 25 publications from 1988 to 2023 were analyzed, involving 512 participants, with a significant number (22.3%) having USN, and highlighting common practices in NMV application and testing.
  • The research indicates that while NMV frequency was consistent, the variety in application methods, tasks performed, and outcome measures indicates a need for standardized approaches in future studies.
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Background: Stroke is one of the leading causes of chronic disability worldwide. Sensorimotor recovery relies on principles of motor learning for the improvement of movement and sensorimotor function after stroke. Motor learning engages several cognitive processes to effectively learn and retain new motor skills.

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Article Synopsis
  • The study aimed to evaluate the impact of a 16-week exoskeleton-assisted walking program on upper limb strength, mass, and wheelchair propulsion skills in individuals with chronic spinal cord injuries who primarily use wheelchairs.
  • Conducted as a single-group pre-post intervention, the study involved ten participants with limited lower limb motor function, utilizing various tests to assess changes in muscle strength and wheelchair performance before and after the program.
  • Results showed a significant improvement only in the participants' natural velocity during a short wheelchair propulsion test, indicating more research is needed to explore how different training volumes might further enhance not just upper limb strength but also wheelchair skills, particularly in those less experienced with wheelchair use.
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Objective: To investigate brain injury (BI) associations' perspectives regarding the impacts of the second year of the COVID-19 pandemic on individuals with BI and BI associations services across Canada.

Methods: This qualitative descriptive study included 26 representatives of Canadian BI associations that participated in six online focus groups to discuss the effects of the second year of the pandemic on clients living with BI and on the provision of community services.

Results: Findings revealed three main themes: 1) ongoing pandemic-related challenges faced by clients living with BI, including worsening mental health and basic needs insecurities, difficulties faced by clients in adhering to safety measures, and ongoing technological issues; 2) ongoing adaptations to accommodate clients' needs, including offering tailored services, ensuring consistent and transparent safety measures, and providing hybrid services; and 3) developing a sustainable 'new normal' aligned with association mandates and resources by expanding networks and building resilience.

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"How can we help you?": results of a scoping review on the perceived needs of people living with chronic pain regarding physiotherapy.

BMC Health Serv Res

November 2024

School of rehabilitation, Faculty of medicine, Université de Montréal, PO Box 6128, Centre-Ville, Montreal, QC, H3C 3J7, Canada.

Background: Physiotherapy is effective to reduce pain and improve the quality of life of people living with chronic pain. To offer high-quality physiotherapy services, these services must be patient-centred and respond to patients' needs. However, few studies seem to target patients' perceived needs, whereas more studies tend to focus on needs assessed by healthcare experts, which are not always in line with patients' perceived needs.

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Article Synopsis
  • R2Play is a new assessment tool designed for youth recovering from concussions, simulating the complex physical and cognitive challenges found in sports to ensure more effective rehabilitation.
  • The study will assess the tool's feasibility, face validity, and content validity by gathering quantitative data from performance metrics and qualitative insights from interviews with clinicians and youth participants.
  • Results from this study aim to refine R2Play further and set the stage for a broader multicenter study to validate its effectiveness across multiple sites.
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Context: Social support is an important consideration during athletes' rehabilitation following a concussion. Yet, its influence during the return-to-sport (RTS) strategy has been underexplored.

Design: Concussed athletes' experiences with social support during RTS were explored prospectively using an explanatory sequential mixed methods design.

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Article Synopsis
  • The study investigates how occupational therapists (OTs) and physical therapists (PTs) adapt their evidence-based practice (EBP) skills during the first three years of their careers.
  • Using semi-structured interviews with 17 clinicians, the research identified six main themes, including the evolving understanding of EBP and the role of patients and colleagues in decision making.
  • The findings suggest that ongoing professional development and organizational support are critical for enhancing EBP effectiveness in rehabilitation settings.
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Objectives: To (1) detect distinct trajectories of symptoms and quality of life (QoL) over the first 4 years after mild traumatic brain injury (mTBI); (2) assess the relationship between symptom trajectory membership and QoL trajectory membership; and (3) identify participant characteristics associated with QoL trajectory membership.

Design: Prospective longitudinal cohort study. Assessments occurred at 4, 8, 12, 24, 36, and 48 months after mTBI.

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Rationale: Practice context is known to influence the deployment of competencies. The COVID-19 pandemic created a major disruption in many practice contexts. The objective was to understand the lived experience of rehabilitation clinicians during a major disruption of their practice context, namely, the COVID-19 pandemic.

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Background: Access to care is a major challenge for patients with musculoskeletal disorders (MSKDs). Telemedicine is one of the solutions to improve access to care. However, initial remote diagnosis of MSKDs involves some challenges, such as the impossibility of touching the patient during the physical examination, which makes it more complex to obtain a valid diagnosis.

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Investigating clinical decision-making in bleeding complications among nursing students: A longitudinal mixed-methods study.

Nurse Educ Pract

October 2024

Faculty of Nursing, Université de Montréal, 2375 Chemin De la Côte-Sainte-Catherine, Montreal, Quebec H3C 3J7,  Canada; Montreal Heart Institute, 5000 Bélanger Street, Montreal, Quebec H1T 1C8, Canada.

Article Synopsis
  • - The study investigates how undergraduate nursing students’ clinical decision-making regarding post-procedural bleeding changes from their first year to their final year of education.
  • - Students were analyzed through their responses to scenarios involving patients with signs of bleeding, revealing a focus on bleeding and instability but less attention to other potential complications.
  • - Findings suggest that as students progress in their education, they develop improved assessment skills related to patient instability and change their preferred actions for managing bleeding scenarios.
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Objective: To systematically review the literature of existing evidence on the measurement properties of the Quality of Life in Neurological Disorders (Neuro-QoL) measurement system among neurorehabilitation populations.

Data Sources: The Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) guided this systematic review in which we searched nine electronic databases and registries, and hand-searched reference lists of included articles.

Study Selection: Two independent reviewers screened selected articles and extracted data from 28 included studies.

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Introduction: Respiratory therapists (RTs) are expected to provide high-quality care for patients with chronic and acute cardiopulmonary conditions across the lifespan by staying abreast of emerging scientific evidence and effectively integrating it into clinical practice. This integration of evidence is encompassed within the competency of scholarly practice. However, there is currently a limited understanding of RTs' scholarly practice.

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Beliefs and experiences of educators when involved in the design of a Learning-by-concordance tool: A qualitative interpretative study.

J Prof Nurs

September 2024

Centre for Pedagogy Applied to the Health Sciences, Faculty of Medecine, University of Montréal, Montréal, Canada; Department of Family Medicine and Emergency Medicine, University of Montréal, Montréal, Canada.

Article Synopsis
  • - The Learning-by-Concordance tool, designed by qualified educators, aims to enhance reasoning skills in uncertain contexts, but there's limited information on educators' experiences using it
  • - This study investigates the beliefs and experiences of educators involved in the tool's design through qualitative research, gathering insights from four dialogue groups of 14 participants
  • - Findings reveal that educators feel discomfort despite their expertise, highlighting themes of needing peer reassurance, feeling like impostors, and worries about the quality of instructional materials
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Aim: To co-construct a dance class adapted for adolescents with cerebral palsy (CP).

Method: A three phase co-construction process with study collaborators was used to (1) define the objectives and the obstacles and opportunities related to offering a dance class in the community through three focus groups with adolescents, their parents and study partners; (2) co-create the dance class based on the results of step 1, the expertise of the research team and the logic model of the dance class; and (3) test the dance class to evaluate its effects in relation to the defined objectives.

Results: Three objectives were identified: to have fun, promote movement, and social interaction.

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Preliminary Validation of a Clinical Reasoning Theory-Based Assessment Rubric: An e-Delphi Study.

Nurs Educ Perspect

September 2024

About the Authors Marie-France Deschênes, PhD, RN, is assistant professor, Faculty of Nursing Science, Université de Montréal, Montréal, Canada, and a regular researcher, Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montréal, Canada. Éric Dionne, PhD, is professor, Faculty of Education Science, University of Ottawa, Ottawa, Canada, and research chair, Institut du Savoir de l'Hôpital Montfort, Ottawa, Canada. Laura Robert-Boluda, MSc, RNAm, is a doctoral student, Faculté des Sciences de l'Education et de la Formation, Université Haute-Alsace, Mulhouse, France. The first author received a postdoctoral fellowship scholarship from the Social Sciences and Humanities Research Council of Canada. For more information, contact Dr. Deschênes, at

Questions persist regarding the evaluation of cognitive processes related to clinical reasoning when resolving situations in a learning by concordance tool. This Delphi technique study aimed to validate a clinical reasoning assessment rubric based on script theory. Seventeen experts participated in the study.

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Purpose: Immigrant workers are more likely to suffer work-related injuries compared to native-born Canadians. Their physical rehabilitation usually involves physiotherapy. This study sought to better understand the experiences of injured immigrant workers receiving compensation and physiotherapy treatments.

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